مجله سازمان نظام پزشکی جمهوری اسلامی ایران
سال سی و یکم شماره 4 (پیاپی 124، زمستان 1392)

Teledermatology as one of the Telemedicine applications is used in the diagnosis and treatment of skin diseases. The accuracy of diagnosis made based on the images of skin lesions is among the most important issues in this field. The aim of thiscross-sectional study was to compare the accuracy of dermatology diagnosis based on patient’s history and lesions’ images with that made in face to face visit as the gold standard and also to determine Kappa agreement coefficient between these two types of diagnosis. A total of 91 patients were enrolled into the study. Patients’ identity features and medical history were recorded at admission and lesions’ images were taken with a standard method. Then patients were referred to a dermatologist to put his diagnosis on the disease. About two months later the same dermatologist was asked to put his diagnosis based on the patients’ recorded medical history and digital images of the lesions. Then the two diagnoses were compared and Kappa coefficient was calculated. Data analysis was performed through SPSS software package. The correlation rate of diagnoses was 84.6 and kapa coefficient was calculated as 0.77 The diagnosis of dermatological disease based on justpatient’s medical history and digital images of skin lesions has a high rate of accuracy and it can be confidently recommended for tele- dermatology purposes in Iran.

Obsessive-compulsive disorder is one of the severe anxiety disorders and 1 out of 40 adult was given to the disorder. The disorder epidemic is estimated to be 1.8 % in Iranian society. The aim of article was to study the effect of group cognitive-behavioral therapy on improvement of obsession beliefs and reduction ofobsessive-compulsive disorder symptoms in woman participants who referred to the two public hospitals in Tehran. The research was a semi-experimental study with experimental and control groups, pre-test and post-test plan. Out of 50 clients 15women diagnosed with obsessive-compulsive disorder according to diagnostic and statistical manual of mentaldisorder (DSM-IV-TR). Out of 15 women 8 were selected randomly as a sample group. Obsession Belief Questionnaire (OBQ-44) and Yale - Brown Obsessive Compulsive Symptoms(Y-BOCS) were applied as tools.10 session cognitive- behavioral therapy was hold for experimental group. Descriptive and inferential statistics (t-test) were used to analysis of data with SPSS software. There was found significant reduction on obsessivecompulsive symptoms of experimental group after cognitivebehavioral therapy. Besides, there was improvement on their obsession beliefs. Also total mean score and standard deviation ofOBQ in group decreased from 213.38 and 62.32 in pretest to 174.62 and 41.39 in post-test. The group cognitive-behavioral therapy can be effective method on improvement of obsession beliefs and symptoms of obsessive-compulsive disorder of women. Application of this method by therapists especially Iranian clinicians is recommended.

This research was conducted through systematic review of health information literature with the purpose of extracting the factors affecting the acceptance of electronic health records. In this study, using a five-stage search strategy, 194 articles were extracted from four scientific databases including PubMed, ScienceDirect, Cochrane Library and CINAHL, and were analyzed after applying inclusion and exclusion criteria. Then, the factors affecting the acceptance of electronic health records were reviewed and three categories of facilitators, barriers and common factorswere organized. The most important facilitator, barrier, and common factor includes the government support and health insurance companies, costs, and productivity and organization revenue, respectively.

Establishing an informational system, info-mobilization methodology suggests a structured method to accomplish electronic health projects in small societies. In the present study a solution has been provided to establish this mobilization methodology in virtual space using info-mobilization based (IMB) websites with the approach of rural health and hygiene. This research is a correlating – study in which data collection has been done using a questionnaire. The statistical community of the research includes organizations’ managers as well as hygiene and health practitioners and also authorities and experts in this field. Pearson’s Correlation test has been used to investigate the relationship between the fulfillment degrees of each factor in the questionnaire. The validity of the questionnaire was confirmed by Cronbach’s alpha test (=α0.76). The collected data has been analyzed by SPSS 18 in significant level P<0.001. The data analysis results show that, considering the correlation coefficient between the factors discussed in research questions and the P value, the hygiene and health field beneficiaries agree that there is a significant positive relationship (r=0.75 and p<0.001) between using IMB websites and increasing the knowledge of villagers about hygiene and health and there is also a significant positive relationship (r=0.89 and p<0.001) between using IMB websites and developing the information of the target society by health care providers. Besides, regarding the viewpoint of hygiene and health beneficiaries, the findings obtained from data analysis show a significant positive relationship (r=0.79 and p<0.001) between using IMB websites and codifying health policies by managers By enjoying web facilities and considering traditionalconditions of rural societies, Info mobilization Based websites (IMB) yield to establishing a social-technical system that can be useful in fulfilling informational needs of beneficiaries in the field of health, and by providing applied information through bottom-up method, it can help policy makers to codify rural e-health projects.